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DR. DANIEL JAMES WAUTLET
NPI 1245257146
Chiropractor in Green Bay, WI

Active since July 16, 2006Accepts Medicare Assignment
1071 CORMIER RD, GREEN BAY, WI 54304(920) 499-0123(920) 499-5919 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Daniel James Wautlet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL JAMES WAUTLET (NPI 1245257146) is an individual chiropractor in Green Bay, Wisconsin, licensed in Wisconsin (1597-012) and active in the NPI registry since July 2006. He is a graduate of Other (1980).

NPPES Registry Identity

NPI1245257146
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DANIEL JAMES WAUTLET
Location Address1071 CORMIER RDGreen Bay, WI 54304-4350
Mailing Address1071 Cormier RdGreen Bay, WI 54304-4350 · (920) 499-0123 · Fax (920) 499-5919
Phone(920) 499-0123
Fax(920) 499-5919
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 16, 2006
Last NPPES UpdateSeptember 25, 2012
✔ NPI 1245257146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 1597-012
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1071 CORMIER RD, Green Bay, WI 54304
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Other Identifiers 4

Medicare UPINT63617WI
Medicaid38764100WI
Medicare PIN000075287
Medicare ID-Type Unspecified000075287WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel James Wautlet is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577725506
PECOS Enrollment IDI20120508000588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Wautlet's NPI number?

The NPI number for Daniel Wautlet is 1245257146. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Daniel Wautlet located?

Daniel Wautlet practices at 1071 Cormier Rd, Green Bay, WI 54304. The listed phone number is (920) 499-0123.

What is Daniel Wautlet's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Daniel Wautlet enrolled in Medicare?

Yes. Daniel Wautlet is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Daniel Wautlet was last updated on September 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.